Peripheral Retinal Tears Research Articles

Retinal Map of Peripheral Retinal Degenerations and Tears. Part 1. Non­-Regmatogenous Intraretinal Degenerations of the Retina

The aim of the article is to develop a clinical classification and an informative retinal map of peripheral degenerations and retinal tears based on multimodal diagnostics of the vitreoretinal interface.Methods. Multimodal studies of patients with peripheral degenerations included traditional and additional techniques: the ultra­wide­angle fundus imaging with the Clarus 500 camera and wide­field OCT Line scanning using the “sliding method”. .Results. During the period 2014–2024, 1304 peripheral degenerations and retinal tears were identified through the multimodal examination of 614 patients (959 eyes). Based on these studies, a clinical and topographic classification of peripheral degenerations and retinal tears is presented.Conclusion. Multimodal studies has facilitated the creation of a retinal map of the most common peripheral degenerations and retinal tears, the potential to improve the timely recognition of vitreoretinal pathology and optimize treatment tactics.

Syndromic myopia in marfan’s disease: about a case with review of the literature

Objective: To describe a case of myopic syndrome in Marfan disease. Results: The patient was 45 years old, with high myopia and wearing corrective lenses, with no previous history of any particular problem. She was seen for the management of a progressive bilateral decrease in visual acuity in a white, painless eye, with no history of trauma and no other associated signs. On the clinical examination, the corrected visual acuity was estimated at 02/10 in both eyes. The refraction revealed strong myopia at -11D. The examination of the lens after pupillary dilatation reveals a cortical cataract and upward crystalline ectopia in both eyes. At the posterior pole, there was a myopic cone, chorioretinal atrophy and poor macular reflex, with vessels of normal caliber. The retina was flat with no peripheral retinal tears

Результаты хирургической реабилитации больных с открытой травмой глаза

Purpose. To study the effectiveness of early surgical rehabilitation of patients with openglobe injury type C. Material and methods. The clinical effectiveness of the proposed tactics was studied in 103 eyes with open-globe injury (OGI) type C. Associated traumatic complications included traumatic cataract of varying intensity (55.3 %), peripheral retinal tears (52.4 %), partial hemophthalmos (73.8 %) and traumatic retinal detachment (35.9 %). Depending on the timing of IOL implantation, patients were divided into 2 groups. In the main group (28 eyes), IOL implantation was carried out within a period of 24 hours to 3 days or in the volume of primary surgical treatment (PST), while in the comparison group (29 eyes) delayed IOL implantation was performed for 1–3 months. after vitreoretinal surgery. Results. In both groups, anatomical reattachment of the retina was achieved, an increase in visual functions was established with restoration of peripheral and improvement of central vision, regardless of the timing of IOL implantation, while BCVA after surgery in the main group ranged from 0.05 to 0.3 (0.2 ± 0.05), while in the comparison group BCVA was 0.15 ± 0.05 (from 0.05 to 0.2) respectively. Conclusion The use of the proposed tactics for early surgical rehabilitation of patients with open eye trauma with the presence of an intraocular foreign body (IOFB) can increase the effectiveness of treatment, reduce the number of stages of surgical intervention, improve clinical and functional results and increase their rehabilitation effect. Keywords: open-globe injury type C, early surgical rehabilitation

ULTRA-WIDEFIELD IMAGING DETECTION RATE IN IDENTIFYING PERIPHERAL RETINAL TEARS IN SINGLE VERSUS MONTAGE OF PERIPHERAL STEERING.

To compare the detection rate of orthogonal, directed peripheral steering, and automontaged images with ultra-widefield imaging and the factors influencing the ability to identify retinal breaks. Retrospective cohort study. Three hundred and seventy-six treatment-naive eyes (349 patients) that underwent laser retinopexy for retinal breaks between 2015 and 2021 were included. Pretreatment ultra-widefield orthogonal, peripheral steering, and automontage were cross-referenced to scleral-depressed examination to determine whether images successfully visualized all retinal breaks. Total relative retinal area (RRA) visualized was divided by its optic disk area (pixels) to calculate relative retinal area. Potential associations were assessed by linear regression analysis. One hundred and sixty two eyes (154 patients) met inclusion criteria. Orthogonal, peripheral steering, and automontage images showed detection rates of 47.5%, 90.7%, and 80.0%, respectively. Relative retinal area increased from orthogonal versus montage by 34.7% ± 26.5% (mean ± SD), which increased the detection rate by 90.8% ( P = 0.006). In linear probability models, vertical meridian tears decreased probability of identification in orthogonal, peripheral steering, and automontage by -26.6%, -86.2%, and -68.7%, respectively ( P < 0.001), and horizontal meridian tears increased the probability by 62.2%, 92.9%, and 85.5%, respectively, ( P < 0.001). Tears posterior to the equator in orthogonal images increased the probability (91.4%, P < 0.001). Artifacts such as lids/lashes, reflection, and face guard decreased the probability in directed peripheral steering by -28.6%, -50.0%, and -66.7%, respectively, ( P = 0.020, P = 0.049, and P = 0.016). Using directed peripheral steering and automontage increases RRA and detection rate of identifying peripheral retinal breaks. Tears in horizontal meridians or posterior to the equator increase the probability of identification. Common ultra-widefield imaging artifacts can significantly limit the probability of identifying retinal tears.

An Analysis of Optic Disc Parameters in Patients with Peripheral Retinal Tears Following Acute Posterior Vitreous Detachment: A Cross-Sectional Study.

To investigate association between optic disc parameters analyzed by optical coherence tomography (OCT) and occurrence of peripheral retinal tears in patients with symptomatic posterior vitreous detachment (PVD). This cross-sectional study enrolled 75 patients with symptoms of acute PVD, who were allocated into two groups based on whether a peripheral retinal tear occurred or not. When comparing the average retinal nerve fiber layer (RNFL) thickness (μm) between retinal tear and control groups, it was shown that patients with a retinal tear have a significantly higher (87.18 [95% confidence interval (CI), 84.47 to 89.9] vs 81.14 [95% CI, 77.81 to 84.46], P = 0.005) average RNFL thickness. Furthermore, we observed a significant difference (0.13, 0.06 to 0.22 vs 0.07, 0.04 to 0.1, P = 0.036, Mann-Whitney U-test) in the size of cup volume (mm3) between the tear and control groups, respectively. Linear regression showed a significant decrease (P = 0.029) in average RNFL thickness with increasing age, but without a significant difference between the two groups. There was no statistically significant difference between the tear and control groups in terms of rim area, disc area, and average cup-to-disc ratio. Patients with a higher average RNFL thickness and larger cup volume measured by OCT were more prone to develop a peripheral retinal tear. Increased peripapillary average RNFL thickness due to trauma and subsequent inflammation, possibly related to the more adherent posterior hyaloid membrane to the retina, may also indicate strengthened adhesions in the areas of the peripheral retina where retinal tears occur. OCT analysis of the optic nerve head may be used in everyday clinical practice as a predictor of the development of peripheral retinal tears in patients with symptomatic PVD.

Vaccine needle prick-related retinal injury

A 7-year-old male presented with left eye subconjunctival hemorrhage following injury with a 23-G vaccine needle (COVID-19 vaccine) while playing. Examination revealed a best-corrected visual acuity of 20/30 in the left eye with the presence of localized subconjunctival hemorrhage and trace vitreous hemorrhage with normal intraocular pressure. Peripheral fundus examination revealed the presence of a peripheral retinal tear with an adjacent retinal cyst. A laser barrage was done to the retinal tear, and the patient was kept under close follow-up. On follow-up at 3 months, vision improved to 20/20 with the resolution of vitreous hemorrhage and attached retina. Thus, we report a rare case of retinal tear due to an inefficiently disposed vaccine needle, stating the importance of following occupational safety by the vaccinators as well as other health administrators.

Surgical treatment of retinal detachment complicated by a macular hole

Retinal detachment with a macular hole is a severe pathology leading to vision loss and disability of the patient. It is most frequently observed in myopes and causes severe damage of functional parameters of the retina. The pathogenesis of the disease is associated with tangential tractions of the inner limiting membrane and the posterior layers of the vitreous that affect the retina of the myopic eye. Modern ophthalmology uses a variety of approaches to the surgical treatment of the pathology. The final functional result primarily depends on how successful the macular hole closure and retinal reattachment are. To achieve this success, various techniques of subretinal fluid drainage can be used. The present literature review was conducted using the Pubmed search engine. We analyzed the articles published from 2000 to 2021. The analysis of research results showed the advantage of the peripheral method of drainage using a perfluoroorganic compound. This technique is relevant both in cases of the peripheral retinal tear and in subretinal fluid aspiration through the retinotomy. The peripheral method of drainage using a perfluoroorganic compound ensures a better functional outcome, which, in case of retinal detachment with a macular hole, mainly depends on the safety of the neuroreceptors of the central zone and the closure of the macular hole.

Netzhautriss – optometrisches Management

Purpose. This case report describes the optometric manage- ment of a peripheral retinal tear that was discovered during an optometric eye examination. It is intended to sensitize optometrists and ophthalmic opticians to the topic of retinal tears and retinal detachment. Material and Methods. During an optometric eye examina- tion, the fundus was examined using an ultra-widefield laser scanning ophthalmoscope. A retinal tear was detected in the fundus periphery. Results. After the comprehensive optometric examination, the patient was informed about the finding of a peripheral retinal tear and its consequences and referred to an eye clinic. At the eye clinic, the diagnosis was confirmed. Treatment consisted of preventive laser retinopexy to reduce the risk of subsequent tear extension and retinal detachment. Conclusion. The retinal tear presented in this case report was detected as an incidental finding. The patient was referred to an eye clinic for specialist diagnosis and preventive treat- ment. The case shows that a comprehensive optometric eye examination not only enables the management of relevant refractive errors, but can also make a contribution in terms of preventive health care. Optometric involvement in eye care has the potential to lead to earlier diagnosis, allowing treatment strategies to be implemented at an earlier stage. Together, earlier diagnosis and earlier intervention can lead to better long-term health outcomes. Keywords Fundus examination, fundus periphery, retinal tear, retinal detachment, retinopexy

Preventing Retinal Detachment: The Encircling Laser Retinopexy Technique.

Encircling (360 degree) retinal detachment prophylaxis using indirect ophthalmoscope laser delivery recently achieved strong proof of safety and effectiveness by preventing the development of peripheral retinal tears and detachments in the eyes of patients with Stickler syndrome (syndromic eyes). Untreated, Stickler syndrome patients have a 65% lifetime risk of retinal detachment (half by age 20, 80% bilateral). This report describes an optimal technique of encircling laser retinopexy to also prevent the more common retinal detachments seen in aging (non-syndromic) eyes that share with Stickler syndrome the common pathogenesis of peripheral retinal tears caused by vitreous traction.

Single-stage endovitreal surgery of retinal detachment complicated by macular hole involving the short-term perfluorocarbon tamponade

Rhegmatogenous retinal detachment complicated by macular hole is a rare disorder that is the most challenging in terms of vitreoretinal surgery, and good anatomical outcome is not always associated with high visual functions. Today, vitrectomy, involving macular hole closure with autologous platеlet-rich plasma, sealing peripheral retinal tears, and subsequent vitreal cavity tamponade with vitreous substitutes, is considered to be the most effective method for surgical treatment of this disorder. Despite variability of surgical approaches to treatment of rhegmatogenous retinal detachment complicated by macular holes, the search for safe and effective surgical technique, allowing one to achieve benificial morphological and functional outcome with minimal damage to the retinal structures and to minimize the patient's rehabilitation period, is still relevant. The clinical case reported demonstrates the possibility of performing single-stage endovitreal treatment of retinal detachment complicated by macular hole using the autologous conditioned plasma in combination with the short-term perfluorocarbon tamponade. The results of using this technique show its reliability and superior efficiency and ensure good morphological and functional outcome in the postoperative period: restored macular architectonics, macular hole closure, anatomic retinal adhesion, and improved visual functions.

Chandelier-assisted pars plana vitrectomy decreases the rate of retinal re-detachment following silicone oil removal

Background Recurrent retinal detachment is one of the major complications after silicone oil (SO) removal. Therefore, finding ways to decrease its incidence would be of great significance. Purpose The aim of this study was to compare the rate of retinal re-detachment following SO removal in eyes that underwent scleral self-indentation during chandelier-assisted vitreous base shaving compared to the eyes that underwent scleral indentation by an assistant. Patients and methods This is a retrospective study that included 381 eyes of 381 consecutive patients who underwent SO removal between December 2017 and December 2021, after a successful pars plana vitrectomy for primary rhegmatogenous retinal detachment. Scleral self-indentation (group A) was performed in 186 eyes, while scleral indentation by an assistant (group B) was performed in 195 eyes. The primary outcome measure was the rate of retinal re-detachment after SO removal. The secondary outcome measures were the rate of iatrogenic peripheral retinal tears and intraoperative complications. Results Retinal re-detachment occurred in 21 (11.29%) eyes in group A compared to 38 (19.49%) eyes in group B, with a statistically significant difference (P=0.027). Iatrogenic retinal tear during vitreous base shaving occurred in two (1.08%) eyes in group A compared with 17 (8.71%) eyes in group B, with a statistically significant difference (P=0.001). Slipped infusion cannula during indentation occurred in two (1.02%) eyes in group B and resulted in serous choroidal detachment in one eye, a complication that was not reported in group A. Lens touch occurred in three (1.61%) eyes in group A versus eight (4.1%) eyes in group B, a statistically nonsignificant difference (P=0.065). Conclusion Scleral self-indentation during chandelier-assisted vitrectomy facilitated safe and satisfactory vitreous base shaving with a lower risk of retinal re-detachment after SO removal. It was also associated with a lower rate of iatrogenic retinal breaks and intraoperative complications.

Retinal detachment secondary to bungee jump.

Here, the authors report a case of a 28-year-old myopic male with Left-Eye retinal detachment secondary to a bungee jump. In recent years, a few case reports have archived a variety of visual injuries caused by bungee jumping. But only few literatures have reported the event of retinal detachment related to bungee jumping. Patients with moderate to high myopic refractive error may have different vitreous and retinal changes, like vitreous degeneration, lattice degeneration, and peripheral retinal tears. The authors accept that these retinal findings are more related to the vitreoretinal traction mechanism leading to retinal detachment in bungee jumping. This case highlights that retinal detachment secondary to a bungee jump is a rare but serious ocular manifestation, and bungee jumping should be considered a risk factor for retinal detachment in predisposed patients.

Comparison of Intraocular Tamponade in Patients with Peripheral Tear-Induced Retinal Detachment and Coexisting Macular Hole without High Myopia.

To introduce the surgical results and examine the effect of intraocular tamponades on surgical outcomes in patients with coexisting macular hole (MH) and rhegmatogenous retinal detachment (RRD) without high myopia. This retrospective, cross-sectional, two-center study was carried out with 29 eyes of 29 patients. The patients were divided into two groups according to the intraocular tamponade used in surgery: silicone oil (Group 1) and C3F8 gas (Group 2). In all patients, the internal limiting membrane was peeled during surgery. Exclusion criteria were determined as RRD with MH due to high myopia (≥ 6 D) without peripheral retinal tears and traumatic MH. In Group 1, the median preoperative best-corrected visual acuity (BCVA) was 3.0 (M ± SD: 2.85 ± 0.27) logMAR, while the median postoperative BCVA was 1.0 (M ± SD: 1.39 ± 0.83) logMAR (p < 0.001). In Group 2, the median preoperative BCVA was 3.0 (M ± SD: 2.37 ± 0.93) logMAR, while the median postoperative BCVA was 0.76 (M ± SD: 1.06 ± 0.86) logMAR (p = 0.008). The retinal attachment success rate was 15/17 (89.3%) in Group 1, and 11/12 (91.7%) in Group 2 (p = 0.64). The MH closure rate was 12/17 (71.6%) in Group 1, and 10/12 (78.1%) in Group 2 (p = 0.52). No difference was determined between the groups in terms of preoperative and postoperative BCVA, preoperative and postoperative intraocular pressure, and BCVA improvement. The study results showed no significant difference between using silicone oil or C3F8 gas as an intraocular tamponade after internal limiting membrane peeling in patients with RRD due to peripheral tear with coexisting MH.

Окт диагностика скрытого клапанного разрыва при задней отслойке стекловидного тела

Changes in the posterior vitreous that look like hyperreflective dots are considered as a predictor of peripheral retinal breaks in acute posterior vitreous detachment (PVD), along with Shafer's sign, intraretinal and vitreous hemorrhages. Some of peripheral breaks in acute PVD remain unnoticed at the initial ophthalmoscopic examination due to poor visualization. We report a clinical case of an invisible peripheral retinal flap tear detection with overview wide-field OCT (RTVue XR Avanti, Line mode –12 mm) scanning by «sliding» method in the area of retinal hemorrhage in presence of multiple hyperreflective dots in the vitreous during acute symptomatic PVD. Key words: acute PVD; invisible flap tear; wide-field OCT; retinal hemorrhage; stardust sign; hyperreflective dots.

Preventing Retinal Detachment: Where are We? Implications from Stickler Syndrome.

Stickler syndrome, a rare inherited disease, carries a lifetime risk of rhegmatogenous retinal detachment (RRD) of up to 65%, higher than any other predisposing condition known. Both syndromic and non-syndromic eyes suffer RRD predominately from the same pathogenesis, vitreous tractional tears in the peripheral retina. Consequently, extraordinary publications in 2021-2022, each reporting successful prevention of RRD in Stickler syndrome, using 360-degree (encircling) laser retinopexy, provide the first strong evidence upon which similar prophylaxis in non-syndromic eyes at high risk of RRD from peripheral retinal tears can confidently go forward.

Spontaneous Breakaway of Tractional Flap Tear during Acute Posterior Vitreous Detachment after Laser Retinopexy

Flap tears in the peripheral retina are the most dangerous for the occurrence of regmatogenous retinal detachment (61–83 %), as they are always the result of dynamic vitreoretinal traction. The main method of preventing of regmatogenous retinal detachment in patients with flap tears is laser treatment. Prophylactic laser retinopexy is performed to create an area of sufficient chorioretinal adhesion completely surrounding the retinal break. Currently, the method of non-contact navigated laser retinopexy is widely used. It is safe and well-tolerated procedure equally effective to traditional laser coagulation. The reason for the progression of retinal detachment, which occurs despite preventive therapy, may be insufficient fusion around the retinal break, or the active traction force during the progression of posterior vitreous detachment (PVD). The method of flap retinotomy using modern YAG laser systems with coaxial illumination have been reported in the literature, but there are no publications on spontaneous breakaway of tractional flap tear during acute PVD progression. The case of spontaneous breakaway of tractional flap tear during acute posterior vitreous detachment after laser retinopexy is presented. A 55-year-old woman complained of floaters and photopsias in her left eye within a day. Multimodal examination was performed: visometry, perimetry, scanning laser ophthalmoscopy, ultrasound B-scanning, optical coherence tomography of the retina, fundus photoregistration. Laser treatment was performed with the Navilas Laser System 577s using the non-contact ncPRP lens.Results: The examination revealed a flap tear in the upper nasal segment with subretinal fluid around and spot hemorrhage. Preventive non-contact laser coagulation of the retina was performed in six rows together along the entire border of the tear. 11 days after the operation, the patient applied again with complaints of increased photopsias within a day. During the examination, spontaneous breakaway of the flap from the base, complete retinal attachment, absence of intraocular hemorrhage were revealed.Conclusion: Timely diagnosis and preventive laser retinopexy of peripheral retinal flap tear contributed to the prevention of development of the rhegmatogenous retinal detachment

Модифицированная комбинированная лазерная ангиотомия при клапанных разрывах сетчатки в профилактике гемофтальма

Purpose. To compare the efficacy and safety between modified laser angiotomy and classical combined angiotomy. Material and methods. Treatment outcomes of 51 patients (51 eyes) with horseshoe retinal tear complicated by the presence of retinal vessels in the area of the tear were analyzed. The patients were divided into two groups: a retrospective group (n= 36) which were treated by classical combined angiotomy and a prospective group (n= 15) treated by modified angiotomy. In addition to standard examination, all patients underwent optical coherence tomography (OCT) to identify vitreoretinal traction fixed to the vessel. Efficacy and safety were compared between technologies, including the rate of vitreous hemorrhages, the laser parameters, and the rate of complications. The follow-up period was 6 months. Results. Analysis of OCT scans revealed vitreoretinal fixation in the area of the retinal tear flap, also associated with a bridge vessel in all patients. During photocoagulation of a retinal vessel, choroidal bleeding was noted in 2 cases in the first group and in 1 case in the second group. During the YAG-laser angiotomy, this complication occurred in 3 cases in the first group and was absent in the second group. There were no vitreous hemorrhages in both groups during follow up period. Conclusion. Retinal vessel coagulation followed by YAG laser angiotomy is a reliable way to prevent vitreous hemorrhages in patients with peripheral retinal tears complicated by the presence of retinal vessels. The proposed modification of laser angiotomy, which consists in coagulation of a segment of the retinal vessel with an intact area of 0.05-1.0 mm in its middle and YAG laser angiotomy in the center of this area, allows the use of fewer pulses with lower pulse energy, which appears to reduces rate of choroidal bleeding. Keywords: horseshoe tear, angiotomy, vitreous hemorrhage, vitreoretinal traction.

Phacovitrectomy-Influence of the timing of intraocular lens implantation on the corneal endothelium

In phacovitrectomy the cataract is usually operated on first including implantation of the intraocular lens (IOL) before beginning vitrectomy but the IOL can also be implanted following vitrectomy. This variation avoids optical impairments from corneal opacities and the lens rim, improves the visualization of the retina during surgery and might thereby reduce intraoperative complications, such as peripheral retinal tears or IOL subluxation. It might, however, increase stress on the corneal endothelium. The aim of this study was, therefore, to compare postoperative corneal endothelial cell loss for the standard procedure of phacovitrectomy and the surgical variation. In this retrospective study 41eyes were each assigned to groupI (standard phacovitrectomy) or groupII (variation of phacovitrectomy). The primary endpoint was the absolute and relative corneal endothelial cell loss appearing 5 ± 1weeks postoperatively with reference to the preoperative number of endothelial cells. Secondary endpoints included visual acuity, intraocular pressure, coefficient of variation of endothelial cell area (CV), proportion of hexagonal endothelial cell forms (6A), pachymetry, intraoperative and postoperative complications. The absolute and relative endothelial cell loss in groupI (-108 ± 146; -4.1 ± 5.7%) did not differ significantly from that in groupII (-73 ± 122; -3.1 ± 5.3%, p = 0.299; p = 0.388). The secondary endpoints also showed no significant differences. The presented variation of phacovitrectomy expands the surgical options and does not show asignificantly different postoperative corneal endothelial cell loss compared to the standard procedure.

Non-contact navigated laser retinopexy for peripheral retinal tears and rhegmatogenous degenerations: first experience

To evaluate the first outcomes of non-contact navigated laser retinopexy for peripheral tears and rhegmatogenous degenerations of the retina. This prospective single-center interventional pilot study included 58 patients (68 eyes), among which 19 males and 39 females aged 47.5±16.9 years with peripheral retinal degenerations and symptomatic retinal tears who received non-contact laser retinopexy with the Navilas 577s navigated laser system and non-contact PRP widefield objective. All patients (68 eyes) underwent laser treatment for the following disorders: horseshoe tear in 13 eyes, retinal hole in 11 eyes, operculated retinal hole in 3 eyes, lattice degeneration in 19 eyes, snail track degeneration in 1 eye, vitreoretinal tufts in 16 eyes, and progressing bullous retinoschisis in 5 eyes. Pain intensity was assessed using a four-point verbal rating scale. All patients were followed up for 5 to 21 months (9.0±3.3 months on average). Stable condition of the retina was observed in 65 cases (95.5%). In 3 eyes (4.4%), newly formed retinal tears prompted additional laser treatment: horseshoe tear in 2 eyes and retinal hole in 1 eye. The mean pain score during non-contact navigated laser retinopexy was 0.9±0.5. No complications associated with laser treatment were observed. Non-contact navigated laser retinopexy performed with the Navilas 577s navigated laser system is a safe and well-tolerated procedure with effectiveness comparable to conventional laser retinopexy.

Non-Mydriatic Ultra-Wide Field Imaging Versus Dilated Fundus Exam and Intraoperative Findings for Assessment of Rhegmatogenous Retinal Detachment.

Background: to compare the extent of the detached retina and retinal tears location in rhegmatogenous retinal detachment (RRD) among non-mydriatic ultra-wide field (UWF) imaging, dilated fundus exam (DFE), and intraoperative evaluation. Methods: this retrospective chart review comprised 123 patients undergoing surgery for RRD. A masked retina specialist analyzed the UWF fundus images for RRD area, status of the macula, and presence and location of retinal breaks. The same variables were collected from a database including DFE and intraoperative recordings. Evaluation methods were compared. Results: mean age was 59.8 ± 14.9 years. Best-corrected visual acuity improved from 0.25 ± 0.3 (Snellen) to 0.67 ± 0.3 at 12 months (p = 0.009). The RRD description and assessment of macula status (34.5% macula-on) did not differ between UWF, DFE, and intraoperative examination. The inferior quadrant was involved most frequently (41.5%), followed by the superior (38.9%), temporal (27.8%) and nasal quadrant (14.8%). Intraoperative exam detected 96.7% of retinal tears compared with DFE (73.2%, p = 0.008) and UWF imaging (65%, p=0.003). UWF imaging and DFE did not differ significantly. Conclusion: RRD extent on DFE and UWF images was consistent with intraoperative findings. UWF and DFE detection of peripheral retinal tears was similar, but 25% of retinal breaks were missed until intraoperative evaluation.